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	<head>
		<meta charset="utf-8">
		<meta name="viewport" content="initial-scale=1.0, maximum-scale=1.0, user-scalable=no" />
		<title>签约</title>
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	</head>

	<body>
		<header class="hui-header">
			<div id="hui-back"></div>
			<h1>签约</h1>
		</header>

		<div class="hui-wrap">
			<div class="hui-list">
				<ul>
					<li>
						<a>
							<div class="hui-list-text">
								<div class="hui-list-text-content ">医生</div>
								<div class="hui-list-info"><span class="teamName">李四</span>团队</div>
							</div>
						</a>
					</li>
				</ul>
			</div>
			<div class="hui-form-items" style="padding: 6px 10px;">
				<div class="hui-form-items-title" style="width:auto;">个人信息<span style="color:#f00;">(必填)</span></div>
			</div>
			<div class="hui-media-list" style="padding:10px;background: #fff;"  id="form1">
				<div class="hui-form-items">
					<div class="hui-form-items-title">姓名:</div>
					<input id="userName" value="" type="text" class="hui-input hui-input-clear" placeholder="请输入用户名" checkType="string" checkData="1,20" checkMsg="请输入正确的用户名" />
				</div>
				<div class="hui-form-items">
					<div class="hui-form-items-title">街道地址:</div>
					<input id="street" value="" type="text" class="hui-input hui-input-clear" placeholder="请输入街道地址" checkType="string" checkData="1,40"  checkMsg="请输入正确的街道地址" />
				</div>
				<div class="hui-form-items">
					<div class="hui-form-items-title">详细地址:</div>
					<input id="address" value="" type="text" class="hui-input hui-input-clear" placeholder="请输入详细地址" checkType="string" checkData="1,40" checkMsg="请输入正确的详细地址" />
				</div>
				<div class="hui-form-items">
					<div class="hui-form-items-title">身份证号:</div>
					<input id="idcard" value="" type="text" class="hui-input hui-input-clear" placeholder="身份证号" checkType="reg" checkData="(^\d{15}$)|(^\d{18}$)|(^\d{17}(\d|X|x)$)"  checkMsg="请输入正确的身份证号" />
				</div>
			</div>
			<div class="hui-form-items" style="padding: 6px 10px;">
				<div class="hui-form-items-title" style="width:auto;">健康标签<span style="color:#ccc;">(非必填)</span></div>
			</div>
			<div style="padding:10px 15px;background: #fff;" id="tags1" class="hui-tags">
			</div>
			<div class="hui-form-items" style="padding: 6px 10px;">
				<div class="hui-form-items-title" style="width:auto;">签约渠道<span style="color:#ccc;">(必填)</span></div>
			</div>
			<div class="hui-form-items" style="padding: 0px 20px;background: #FFF;" >
				<div class="hui-form-radios" style="line-height:38px;">
					<input type="radio" value="1" name="gender" id="g1" onchange="showSelectRes(this);" checked/><label for="g1">医生</label>
					<input type="radio" value="2" name="gender" id="g2" onchange="showSelectRes(this);" /><label for="g2">其他</label>
				</div>
			</div>
			<div style="padding:15px 8px;">
            	<button type="button" class="hui-button hui-primary hui-fr" id="submitBtn">下一步</button>
        	</div>
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		<script type="text/javascript" src="../../js/hui/hui-form.js"></script>
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